Child / Youth Worker Commitment

This commitment form is to be completed annually by all employees and volunteers desiring a ministry position involving the supervision or custody of children and/or youth. It is being used to help the church provide a safe and secure environment for children and youth who participate in our programs and use our facilities.
Please enter your first name.
Please enter your middle name.
Please enter your last name.
Please enter the street address of your current residence.
Please enter the city of your current residence.
Please enter the state of your current residence.
Please enter the zipcode of your current residence.
Please enter your home phone number.
Please enter your work or cell phone number.
Please enter your email address.
Is there any health related reason that would keep you from effectively working with or cause any potential harm to children? If yes, please explain:
Please answer the above question.
Please list the BPC ministries in which you are currently involved.
Please answer the above question.
Employee/Volunteer Commitment Statement The information in this Commitment Form is correct and complete to the best of my knowledge. I acknowledge that I have read the BPC Child and Youth Protection Policy and have access to a copy for my personal use. I agree to follow the Child and Youth Protection Policy and to refrain from inappropriate conduct in the performance of my services on behalf of the church. I consent to a criminal background check in accordance with Bethel’s policy. I understand that any violation of the Code of Conduct or misrepresentation of information that I have provided may result in termination of employment or volunteer service with children/youth.
You must certify your agreement with the above statement by entering your entire name here.
You must enter today's date here.

19920 Bethel Church Road Cornelius, NC  28031 This email address is being protected from spambots. You need JavaScript enabled to view it.  704-892-0546